Individual
SHAUNTINA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4045 GRACE AVE, BRONX, NY 10466-2209
(914) 297-8242
Mailing address
4045 GRACE AVE, BRONX, NY 10466-2209
(914) 297-8242
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
584831
NY
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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